Dr. Ernest Martínez Marsal
• More than 35 years of experience• Medical Director of the Institute of Urology of Girona (present) • President of the Catalan Association of Urologists of Regions (1995-2003)• Founder of the Catalan Association of Urologists of Regions (1993)• Fndador the Institute of Urology of Girona (1990)• Deputy Medical Urology Puigvert Foundation (1982-1990)• Specialist in Urology, Puigvert Foundation (1979-1981)• Chief of Urology at the Hospital Sant Jaume de Olot• Deputy Medical Urology at the Hospital of Santa Caterina Salt ...
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The bladder is a hollow organ in the lower abdomen whose main function is to store urine before it is expelled from the body. Bladder cancer occurs wh The bladder is a hollow organ in the lower abdomen whose main function is to store urine before it is expelled from the body. Bladder cancer occurs when cells cancersosas in the inner membrane of this body are formed, and its symptoms are painful urination or lower back, frequent urination and blood in the urine. The main risk factors are smoking and exposure to certain chemicals, along with a family history of the disease. This type of cancer can be limited to the lining of the bladder, and then called surface or spread through the lining of the bladder and even to nearby organs, which are called invasive in this case. Treatment depends on the severity and type of cancer, but may generally include radiation therapy, chemotherapy and / or surgery. ...
Erectile dysfunction is the difficulty or inability to achieve or maintain a penile erection resulting in a successful sexual intercourse. It is Erectile dysfunction is the difficulty or inability to achieve or maintain a penile erection resulting in a successful sexual intercourse. It is also known as impotence, but now it has stopped using the term in the medical field. It affects many men and increases with age, but to consider an alteration is necessary to manifest persistently. The most common causes of erectile dysfunction can be both physical and psychological, or a combination of both. They can be of vascular type: men with an index of high cholesterol, smoking, diabetes or who have been treated with radiotherapy. Neurological disorders (Alzheimer's, for example) and hormonal (by utilizing medication) are given a lesser extent. There may also be a cause of affective: patients with severe forms of depression or anxiety often have erectile dysfunction. The treatments besides medication, usually include changes in lifestyle, such as quitting smoking and exercising regularly. ...
The green laser is a minimally invasive prostate therapy to treat benign prostatic hypertrophy. It is an extremely effective and safe method for patie The green laser is a minimally invasive prostate therapy to treat benign prostatic hypertrophy. It is an extremely effective and safe method for patients. In addition, its advantages, there is no bleeding after surgery and produces necrosis. ...
Kidney cancer is a malignant tumor that involves the uncontrolled spread of cancer cells in the renal tubules. It is a disorder that affects mainly t Kidney cancer is a malignant tumor that involves the uncontrolled spread of cancer cells in the renal tubules. It is a disorder that affects mainly to adults over age 50 and men generally. The most common risk factors include smoking, hemodialysis and other genetic reasons (the exact causes are unknown). Symptoms of a kidney tumor usually the appearance of blood in the urine, pain in the lumbar area (near the diseased kidney), weight loss and abdominal weight gain. However, the majority of renal tumors are asymptomatic and tend to randomly detected from an x-ray test done for other reasons. It is a cancer that is detected early can be cured, and that because humans can live with one kidney, you can proceed to the removal of the malignant tumor organ to stop. But, when it is detected metastases (tumor spread to other organs) other specific treatments should be made to halt the spread of cancer cells. ...
Prostate cancer occurs when abnormal cells grow in the prostate, which is a male sex gland located below the bladder and above the rectum, responsible for producing seminal fluid. It is one of the most common cancers in men, and the odds of suffering increases with age. In its initial stage, symptoms such as difficulty and pain when urinating, frequent urination, inability to urinate, blood in urine, painful ejaculation, pain in the lower back and pelvis that does not go away with time, loss Unintentional weight, etc. Treatment options depend on the stage of the cancer and health status of the patient, but usually include surgery, chemotherapy and radiotherapy. ...
Urinary incontinence is the inability to control the bladder, which means that you can not always hold urine. It can affect anyone, but is most common in people over 50 years. Most control problems occur because the muscles that keep the bladder are too weak or too active. If they are weak, small amounts of urine to perform actions such as laughing or coughing are lost, which is known as stress incontinence. On the contrary, if they are too active, you can have an urgent need to go to the bathroom while having little urine in the bladder (urge incontinence or overactive bladder). Other causes include prostate problems and neurological damage. The treatment of urinary incontinence depends on the cause and type, but in general usually includes simple exercises, medicines and special devices. Surgery may be helpful at times. ...
Balanitis is an inflammatory disease that occurs on the surface of the glans and foreskin. The causes can be bacterial infection or irritation. The most common symptoms are: swelling; itch; erythema; pain; irritation; presence of vesicles; narrowing of the foreskin (phimosis); difficulty urinating; bleeding. Treatment is usually based topical antimicrobials or creams containing cortisone. In particularly severe cases, the patient will have to undergo circumcision surgery. ...
Circumcision is the total or partial excision of the foreskin, which is the skin that covers the tip of the penis by a surgical procedure. It is effective to correct disorders such as phimosis (which prevents the foreskin can be retracted and thus discover the glans) and paraphimosis (most often due to an inflammation of the foreskin) treatment. Circumcision is widespread universally, and many parents prefer to practice in their newborns, not a prescription, but for cultural reasons. This is a very simple operation, which lasts only a few minutes, and does not require general anesthesia. The recovery of the patient is also very fast, within a few days and can lead a normal life. ...
Cystitis is inflammation of the urinary bladder. You can be infected or not. Its main symptoms are burning sensation during urination, a strong urge to urinate, blood in urine and discomfort in the pelvic area. Cystitis caused by a bacterial infection is usually treated with antibiotics. Cystitis is more prevalent in women because they have shorter urethra and is closer to the anus. ...
Cystocele hernia is a protrusion or bladder into the vaginal canal. It occurs when the muscle that supports the bladder wall is so weak that it is unable to maintain its normal position, so the bladder tends to move down. This weakness can cause urine leakage from the bladder when abdominal pressure increases, which is what happens when you cough or sneeze, for example. Cystocele is relatively common in women after age 40 disorder, and the likelihood increases with age at menopause, after a particularly difficult birth and when obesity, among other reasons. In mild cases, treatment consists in performing Kegel exercises, which strengthen the pelvic floor muscles. Surgery is needed in severe cases or when they fail those years. ...
Penis diseases are those that affect the male reproductive system. In addition to causing pain, can affect sexual functioning and fertility of men. The disease most common penis is erectile dysfunction, which is the inability to achieve or maintain an erection. Other common diseases are priapism, Peyronie's disease and balanitis. Although it is a rare form of cancer, penile cancer it may also appear. ...
Cystitis is inflammation of the urinary bladder. The term interstitial cystitis (also called interstitial cystic) is used to designate cases in which the condition is chronic. It is far more common in women than in men, and the cause is unknown, although it is known that it is not caused by bacterial or viral infections. People affected by this type of cystitis wall have completely swollen and painful bladder, which causes scarring of the bladder or causes stiffness, resulting in the inability to expand as it fills with urine. Symptoms vary widely, but typically include pulse urgency to urinate, urinary frequency, and even pain during intercourse. There is no definitive cure for interstitial cystitis, so treatments are usually focused on improving symptoms, and may include diet, exercise bladder control, medication, physical therapy, etc. ...
Kidney stones are solid pieces of varying aspects mainly formed at the expense of salts in body fluids. When the calculations are formed or accommodated in any area tract or urinary tract it speaks of urolithiasis. More specifically, when formed in the kidney, they called renal or kidney stones, and form due to waste products from the urine. They vary in size from the size of a grain of sand to a stone of considerable proportions. Moreover, in most cases, kidney stones leave the body without medical intervention, but can also remain in the kidney or urinary tract scroll through and get stuck, blocking the urinary tract and causing great pain. As for treatment, they are usually given painkillers, but has caused a blockage, it is necessary to resort to surgery. ...
The pelvic floor is the set of muscles and ligaments surrounding the abdominal cavity at its bottom. Holding all the pelvic organs (bladder and urethra, uterus and vagina, and rectum) and ensure their normal operation. The pelvic floor is dynamic, adapting to our movement while still maintaining adequate voltage to hold the organs inside the pelvis. When the pelvic floor is weakened, as problems that can affect urine leakage, discomfort, pain and even the fall of the abdominal organs arise. ...
Phimosis is a condition in which there is congenital or accidental of the foreskin of the penis ring narrow, which makes it impossible to retract to show the glans. It is common in children and can sometimes be caused by forced retraction of the foreskin at an early age. It can also be caused by an infection or scars that form after injury. Phimosis can be corrected by a simple surgical procedure called circumcision, which involves removing excess skin around the glans (bridle), permanently leaving it exposed. Instead, parafimosis is unable to return the foreskin over the glans. Usually causes pain and some swelling, and usually occurs in children or the elderly who have not been circumcised. ...
The prostate is a male sex gland located below the bladder and above the rectum, and is responsible for producing the seminal fluid. The BPH occurs when you increase the size of the prostate gland due to a hormonal imbalance in men: increase female hormones (estrogen) on male hormones (testosterone). Usually occurs in people over 70 years and among the symptoms that appear gradually, are: difficulty urinating, frequent urination, urgent feeling to urinate, need to press for emptying the bladder, etc. In severe cases, prostate hypertrophy can produce absolute inability to urinate, blood in urine or impaired kidney function. Is usually treated with medications (hormones) and, in more severe cases, surgery. ...
Prostatitis is inflammation of the prostate, a gland below the bladder of man, and that helps make semen. It is one of the most common disorders of the male genitourinary system, caused, in most cases, by bacterial infection, either chronic or acute. Other inflammatory conditions of the prostate may be chronic nonbacterial prostatitis (producing perineal or pelvic pain) and asymptomatic inflammatory prostatitis (the symptoms are not obvious). The most common symptoms that can lead us to think that there is an inflammation of the prostate are associated with urinary disorders. When the cause is an infection, it is treated with antibiotics for several weeks to remove bacteria from the prostate. ...
Sexual problems can present both women and men. In women it manifests with symptoms of pain during sexual intercourse, lack of orgasm and desire or arousal problems. In men we find erectile dysfunction, reduction or loss of sexual interest, problems with ejaculation or low testosterone. In both cases, the causes can be psychological stress-related, disease, drugs, or emotional or physical problems. ...
Sexually transmitted diseases (STDs) are a set of different microorganisms caused by infectious diseases, which have in common that are preferably spread during sex. More than 20 known STDs, including: chlamydia and lymphogranuloma, gonorrhea, genital herpes, acquired immunodeficiency syndrome (AIDS), genital warts caused by human papillomavirus, syphilis and trichomoniasis. Although most STDs affect both men and women, women have the most serious health problems. Not all STDs can be cured: those that are caused by bacteria, such as chlamydia, are fought with antibiotics, but they are caused by viruses, such as genital herpes, treatment is limited to alleviate the symptoms. ...
Penile frenulum is the skin fold task of binding the underside of the glans with the inner surface of the foreskin. Its function is to help contract the prepuce over the glans. We speak short or short bridle when the frenulum is so short that restricts movement to do the foreskin, leading to discomfort during sexual activity. One consequence is that you can get to tearing, causing pain and some bleeding, which is not a medical emergency if complicated but requires medical treatment. There are different methods for this: from the use of corticosteroid creams and conducting exercises bridle manual extension until restorative plastic surgery (fenuloplastía), elimination (frenectomy) or circumcision. ...
Urodynamics or urodynamics study is a test to know the functioning of the lower urinary tract, that is, how it is stored and eliminates urine. It is used to diagnose diseases such as urinary incontinence, neurological diseases affecting the urinary tract, urinary infections, etc. The test consists of several parts. First, the patient must urinate into a container called a flow meter, which measures the amount and speed of urine. After a probe is placed through the urethra using a numbing gel that reaches the bladder, and is used to measure pressure and filled with sterile saline. Finally, urinate around the tube, which is then removed. This is a total which lasts about 30 minutes simple procedure. ...
Trauma is an injury to an organ or tissue due to actions or external causes. Urogenital trauma refers to injuries in the genital and / or urinary. In this case, the organ is damaged more often is the kidney, followed by the bladder, urethra, testicles and ureters. In addition, there are two types of urogenital trauma. On the one hand, they are called closed, which are the most common, and include injuries from falls from heights, traffic accidents, sports injuries and direct hits on the external genitalia. Moreover, open trauma, caused mainly by stab wounds and fire or abdominal surgery is contemplated. ...
A varicocele is a varicose vein tumor formed by an (unusually swollen vein) or a group of varices, usually located in the scrotum or in the spermatic cord. Usually develops during the course of puberty, most often on the left side of the scrotum, and although it is usually not harmful, in some people it can damage the testicles or decrease sperm production. If testicular varicocele causes infertility, surgery, called varicocelectomy, which involves cutting the affected veins for blood flow is performed. An alternative to surgery is varicocele embolization, which makes a much smaller incision and involves placing a catheter into the vein. ...
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